KRISTINA EUNJEONG CHANG (NPI# 1043662158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043662158 |
Entity Type | Individual |
Full Name | KRISTINA EUNJEONG CHANG |
Credential | DPM |
Practice Address |
3700 E South Street Lakewood CA 90805 |
Mailing Address |
5279 E The Toledo #4 Long Beach CA 90803-1862 |
Practice Telephone | 5625312550 |
Mailing Telephone | 6618638620 |
Enumeration Date | 2016-07-13 |
Last Update Date | 2016-07-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | EL6769 | CA | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL6769 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
EL6769 | CA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487262739 | Kristina Chang | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
1477064681 | Kristina Chang | Physical Therapist | 3908 Valley Ave Ste B, Pleasanton, CA 94566-4872 | 2017-10-14 |
1710288048 | Kristina Y. Chang | Pharmacist | 81 W Foothill Blvd, Upland, CA 91786-3846 | 2010-11-03 |
Street Address |
3700 E SOUTH STREET |
City | LAKEWOOD |
State | CA |
Zip Code | 90805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
1629446752 | Christine Carlberg | Marriage & Family Therapist | 5190 Atlantic Avenue, Long Beach, CA 90805 | 2015-09-06 |
Find all providers in zip 90805 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972086882 | Tagaloa-tulifau Foot and Ankle Center, Inc. | Podiatrist | 5220 Clark Ave Ste 315, Lakewood, CA 90712-2635 | 2018-09-07 |
1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
1093948051 | Manooj Prasad Dpm LLC | Podiatrist | 637 River Ave Ste B, Lakewood, NJ 08701-5227 | 2009-08-25 |
1144262718 | Center for Advanced Foot & Ankle Care | Podiatrist | 1195 Rt 70, Unit 12, Lakewood, NJ 08701 | 2006-06-11 |
1740282607 | Jerome Lamendola | Podiatrist | 15810 Detroit Ave, Lakewood, OH 44107-3711 | 2005-08-11 |
1871083766 | Flippin Foot and Ankle LLC | Podiatrist | 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 | 2018-05-16 |
1407390974 | Balance: Foot and Ankle, LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-12-18 |
1356892681 | Balance Medical and Wellness Group LLC | Podiatrist | 14200 Madison Ave, Lakewood, OH 44107-4510 | 2016-10-21 |
1760830285 | Nathanael Smith | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2016-05-25 |
Find all providers in LAKEWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.